LEANNE SIMPSON MONTGOMERY NPI 1902041320

NPI Information

NPI: 1902041320
Provider Name: LEANNE SIMPSON MONTGOMERY
Classification: Nutritionist - 133NN1002X
Entity Type: Individual

Specialization: Nutrition, Education

Address:
804 N PARKWAY
JACKSON, TN
ZIP 38305
Phone: (731) 423-3020
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Leanne Simpson Montgomery is a nutrition and education nutritionist in Jackson, TN. Leanne Simpson Montgomery NPI is 1902041320. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

804 N PARKWAY
JACKSON, TN
ZIP 38305-058
Phone: (731) 423-3020

The enumeration date for this NPI number is 12/15/2008 and was last updated on 12/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133NN1002X	Nutritionist	Nutrition, Education			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1871676593	OTHER	TENNESSEE	PRACTICE NPI NUMBER
2	3914083	MEDICARE PIN	TENNESSEE
3	4448133	MEDICAID	TENNESSEE
4	P00276040	MEDICARE PIN	TENNESSEE
5	626000729	OTHER	TENNESSEE	EMPLOYERS TAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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